NP / PA
Appalachian Health Care INC
Appalachian Health Care INC was paid $661K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 88% of everything it billed.
33Billing provider infoAPPALACHIAN HEALTH CARE INC
HAZARD, KY 41701
HAZARD, KY 41701
33aNPI1316305253assigned 02/07/2016
33bProvider typeFamily Nurse Practitioner
28Total paid$661K
24GClaims25,693
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Kentucky
Rank by total paid#36 of 424
Median peer was paid$19K
This provider vs. median35×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,227 | $107K | |
| 2019 | 3,663 | $91K | |
| 2020 | 2,986 | $93K | |
| 2021 | 3,487 | $87K | |
| 2022 | 3,090 | $86K | |
| 2023 | 4,369 | $105K | |
| 2024incomplete | 3,871 | $91K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 88% | 19,784 | 15,081 | $580K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.9% | 2,695 | 2,428 | $26K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.1% | 264 | 242 | $14K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.3% | 405 | 366 | $9K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 447 | 295 | $6K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 86 | 52 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 97 | 87 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 337 | 262 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 116 | 95 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 31 | 29 | $2K |
| 90461 | <1% | 69 | 61 | $2K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 108 | 95 | $1K |
9 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 759 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 93 | $799.80 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 25 | $320.50 |
| 80305 | <1% | 49 | $259.74 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 12 | $102.84 |
| 90633 | <1% | 265 | $66.36 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 14 | $0.00 |
| 90715 | 0% | 15 | $0.00 | |
| 90734 | 0% | 22 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialWILLIAMS, CYNTHEA (OWNER)